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A.J.Hoge Effortless English DVD2 Learn Real English Conversations BOOK Listening http://www.mediafire.com/folder/b99l3k6kf5e88/Effortless_Englis h_-_DVD2_-_Book_3 Chile Conversation dawned on (me): to realize; to remember Joe: Hey, you know what dawned on me? Will: What’s that? gone our separate ways: when people who were together leave one another Joe: The last time I saw you, you told, you mentioned something and, I didn’t even realize it until we had already gone our separate ways And that was that you had lived in Chile before I didn’t even remember that It’s like I don’t know… Will: Yeah, I… Joe: …know if you ever told me that not long after: a short amount of time Will: Yeah, I lived in Chile, uh, for a year not long after college Joe: Wait, what year was this? Will: That was in 1992 pretty much right after: right around the time of; close to the time of Joe: Oh, man So, did you, pretty much right after you graduated, you just decided to travel, or… Will: It took me a year to save up the money and then I went travelin’ Yeah, I planned on goin’ right away But it took me a little while and, uh, I made it Joe: Did you know Spanish at the time, or… Will: I thought I did Joe: [laugh] had no idea: did not know Will: When I got to Chile I realized I had no idea what anybody was talking about Joe: Was it because they were speaking too fast, or… Will: It was because I didn’t really know Spanish The Mission: short for The Mission District; a neighborhood in San Francisco Joe: [laugh] Wait, how much, how much Spanish did you have before that? Did you take some in college? Or was it just from living in San Francisco and living in The Mission or something? www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Chile Conversation get by: to okay by using only what you have Will: Oh, I had taken Spanish since I was twelve years old And I was, and I took it, uh, for about three years in college as well And when I got to Chile, it was really difficult, um, uh However I was able to get by And I was able to make friends Joe: Right hang out: to casually pass time Will: And I met some really nice people who were patient with the language and everything, uh It was a group of, uh, people who liked to, uh, um, hang out and play guitar and go dancing… Joe: Oh that’s good kind of: sort of Will: …and there were a lot of, a lot of people, a lot of foreigners, like travelers, in the group But not like tourists But people who were kind of my age and who were living there Joe: Yeah Will: And they, uh, uh There were these Chilean people who, uh, basically were my friends the whole time I was there I was only there for a year But still I met a lot early on: in the beginning of really good people, uh, very early on And by the time I left I spoke a lot of Spanish a good amount: a lot good foundation: a good amount of information to start with Joe: A year, that’s a good amount of time Will: Yeah, I wouldn’t have been able to learn so much Spanish as I did in a year though if I hadn’t been in school for so long Even though it wasn’t, uh, um, even though it wasn’t super fa-…a super fast way to learn Spanish, uh I mean I learned so much more a year in Chile than I did in all the school that I ever had Uh, it still gave me a really good foundation So when I went to, uh, Chile I was able to, uh, um, to make friends there and, uh, speak the language almost all the time And by the time I came back I knew a lot of Spanish That was fun, but, uh, the trip itself was the best part The experience of, uh, living and traveling and working in Chile was something I’ll never forget That was one of the best years of my life Joe: Was that the first time that you’d done any sort of, like, y’know, traveling like that? Or had you, had you gone on a trip like this, y’know, while you were in college during summer? Or… Will: I had gone on, uh, uh many trips to Mexico www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Chile Conversation Joe: Uh-huh Will: when I was in college Every chance I could, of course, I would go to Mexico Ah, I love Mexico Joe: Yeah, it’s… Will: When I… Joe: …so close hitchhiking: to travel by getting a free ride in a car with someone you not know wing it: to something without any planning Will: when I was in Chile, that was the first time though that I took a trip hitchhiking In the summer I went to the south of Chile and, uh, that was a really good time Uh, when I first got there we had, uh, I had no idea what I was doin’ And I just thought, I’m just gonna wing it, uh I’m never gonna be able to get a job here and, uh I just, uh, went on this fantastic trip And when I got back to the city, uh, realizing that since I wasn’t able to get a job I was probably gonna have to go home One of the people that I met, um, in the first week that I was there offered me a job Or told me about a job that I later got at the school that she worked at So I was able to live there a whole year Joe: What were you doin’ there? Will: I was teaching, uh, geography and literature to, uh, a lot of different aged kids, mostly around eleven and twelve younger generation: group of people who are younger absolutely: definite; for sure out on the town: to have fun while going to different places in a town or city Joe: Oh that sounds like a great job You actually get a chance to interact with, uh, the younger generation as well Will: Absolutely That’s why I went there in the first place Although goin’ salsa dancing and, uh, hanging out with my friends was, uh, was another really good part of it Joe: [laugh] I can just see you out on the town salsa dancing Will: Yeah, I, uh, I was a pretty terrible salsa dancer, it’s true But I had a lot of fun Joe: Well, you know what? I guess that’s really all that matters, doesn’t it? www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Chile Conversation Will: That’s right Yeah, absolutely when you go on a trip like that That’s what you want is to learn a lot and have a really good time www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Chile Mini-Story Lesson Hello there and welcome to the mini-story lesson for the conversation “Chile.” Okay, let’s get started with the story * * * * * Frankie the frog is married to Lola the lamb Wednesday was their five year wedding anniversary So they planned a trip to New York “Call a hotel to reserve a room,” said Lola “I don’t want to call a hotel, we can just wing it,” said Frankie Lola looked concerned So Frankie said, “Don’t worry, we’ll get by.” Three days later they flew to New York Not long after they arrived, Frankie called a hotel The hotel was full Then it dawned on Frankie that his cousin Freddie lived in New York So he called his cousin Freddie He told Freddie he was in New York Freddie said, “You can sleep at my house tonight.” So they went to Freddie’s house That night they went out on the town First they went to a café to hang out, then they went to a club They danced and drank a good amount of beer Later that night Frankie said to Lola “I told you everything would be okay, happy anniversary.” * * * * * Okay, so that’s our story Now let’s start from the beginning This time I will ask questions as I tell the story You can answer the questions out loud and if you need more time you can always pause your iPod or computer Okay, let’s start now * * * * * Frankie the frog is married to Lola the lamb www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Chile Mini-Story Lesson Who is married to Lola the lamb? Is Freddie the mouse married to Lola the lamb? No, no, Freddie the mouse isn’t married to Lola the lamb Is Frankie the frog married to Lola the lamb? Yes, yes, that’s correct Frankie the frog is married to Lola the lamb What type of animal is Frankie? Is he a lamb? No, Frankie’s not a lamb Is he a frog? Yes, Frankie is a frog What type of animal is Lola? Is Lola a frog? No, no, Lola’s not a frog Is Lola a lamb? Yes, she is Lola is a lamb Is Frankie Lola’s husband? Well, yes, he is, because Frankie is married to Lola so Frankie is Lola’s husband Is Lola Frankie’s wife? Well, yes, that’s true also, because Lola is married to Frankie so Lola is Frankie’s wife Are Frankie and Lola married? Yes, Frankie the frog is married to Lola the lamb Wednesday was their five year wedding anniversary, www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Chile Mini-Story Lesson When was their five year wedding anniversary? Was it Tuesday? No, no, it wasn’t Tuesday Was their wedding anniversary Wednesday? Yes, Wednesday was their five year wedding anniversary Whose five year wedding anniversary was it? Was it Frankie’s parents? No, no, it wasn’t Frankie’s parents Was it Frankie and Lola’s five year wedding anniversary? Yes, yes, that’s correct It was Frankie and Lola’s five year wedding anniversary How many years ago was their wedding? Was it five years ago? Well, yes, it was It was five years ago How many years had Frankie and Lola been married? Had they been married for twelve years? No, no, they had not been married for twelve years Were they married for five years? Yes, that’s correct They were married for five years because Wednesday was their five year wedding anniversary So they planned a trip to New York Who planned a trip to New York? Did Kermit the frog plan a trip to New York? No, no, it was not Kermit the frog Did Frankie and Lola plan a trip to New York? Yes, yes, they did They planned a trip to New York www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Chile Mini-Story Lesson Where did Frankie and Lola plan a trip to? Did they plan a trip to Paris? No, they didn’t plan a trip to Paris Did they plan a trip to New York? Yes, yes, they did They planned a trip to New York “Call a hotel to reserve a room,” said Lola Who said, “Call a hotel to reserve a room”? Did Frankie say it? No, Frankie didn’t say it Did Lola say it? Yes, yes, she did Lola said, “Call a hotel to reserve a room.” Who should they call to reserve a room? Should they call a hospital? No, they shouldn’t call a hospital Should they call a hotel? Yes, that’s what Lola wanted Frankie to She wanted him to call a hotel Why should they call a hotel? To say hello? No, that’s not why they should call a hotel Should they call a hotel to reserve a room? Yes, that’s correct Lola wanted Frankie to call a hotel to reserve a room “I don’t want to call a hotel, we can just wing it,” said Frankie Who doesn’t Frankie want to call? His mother? www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Chile Mini-Story Lesson No, no, not his mother A hotel? Well, yes, he said he doesn’t want to call the hotel He said, “I don’t want to call a hotel.” Who can just wing it? Frankie’s parents? No, not Frankie’s parents Can Frankie and Lola just wing it? Yes, Frankie said, “we can just wing it” and when he said we can just wing it what he meant was Frankie himself and Lola can just wing it Can Frankie and Lola just go to New York without planning? Well, yes, that’s what it means to wing it It means to something without planning So Frankie and Lola can just wing it, Frankie and Lola can just go to New York without doing any planning Lola looked concerned Who looked concerned? Did Frankie look concerned? No, it wasn’t Frankie Did Lola look concerned? Yes, yes, she did Lola looked concerned How did Lola look? Did she look happy? No, no, I don’t think she looked happy Did Lola look concerned? Yes, yes, she did Lola looked concerned Did Lola look worried? www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Health Care Mini-Story Lesson Hello and welcome to the mini-story for “Health Care.” Let’s get started * * * * * Terry the toad wanted a Ferrari But he had no money What did Terry the toad want? A Ferrari Did Terry the toad want a boat? No, Terry the toad didn’t want a boat Terry the toad wanted a car, a very expensive car Terry the toad wanted a Ferrari, a fast car Who wanted a fast Ferrari? Terry did Terry the toad wanted a Ferrari Did Terry the toad want a Ford or did Terry the toad want a Ferrari? Of course, Terry the toad wanted a Ferrari What was Terry’s problem? Well, Terry’s problem was that he had no money Terry the toad had no money Are Ferrari’s expensive? Oh yes, Ferrari’s are very expensive So Terry the toad wanted an expensive Ferrari but he had no money What color Ferrari did he want? Red? No, not red Terry the toad wanted a green Ferrari, a bright green Ferrari But Terry had no money So Terry decided to get a Ferrari somehow Where was Terry? www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Health Care Mini-Story Lesson Terry was in Miami, Florida Where did Terry live? Terry lived in Miami, Florida Where was he from? Miami, Miami, Florida Well Terry was in Miami and Terry said, “I’m fed up with hopping everywhere I want a fast, bright green, brand new Ferrari.” What was Terry sick of? Well Terry was sick of hopping around everywhere Terry said, “I’m fed up with hopping everywhere.” Did Terry like to hop everywhere? No, he didn’t like it He said, “I’m fed up with hopping everywhere.” I hate hopping everywhere I’m sick of hopping everywhere I’m tired of hopping everywhere Who was fed up with hopping everywhere? Terry, Terry was fed up with hopping everywhere What was Terry? Terry was a toad Terry was a toad who was fed up with hopping everywhere Did Terry want to hop or did Terry want to drive? Terry wanted to drive a fast Ferrari He was fed up with hopping everywhere He was fed up with hopping everywhere He wanted to drive a super fast, brand new, bright green Ferrari So Terry went to a Ferrari dealer www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Health Care Mini-Story Lesson Did he go to a Ferrari store? Yes, he did He went to a Ferrari dealer He asked the dealer, “How much is a Ferrari?” And the dealer said, “$97,000 for a brand new, bright green Ferrari.” Did Terry have $97,000? No, Terry didn’t have $97,000 Did Terry have $80,000? No, Terry didn’t have $80,000 Terry didn’t have $97,000 How much money did Terry have? Zero, none, Terry didn’t have any money Terry said, “Jeez, that’s expensive Can I have a loan?” Was Terry surprised about the price? Yes, Terry was surprised about the price Terry said, “Jeez.” “Jeez, that’s expensive.” Terry was very surprised Jeez, wow, that’s expensive What did he say? He said, “Jeez”…wow, that’s expensive And what did he ask? Well he asked “Can I have a loan?” What did he want? A loan www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Health Care Mini-Story Lesson Terry wanted a loan for what? For a Ferrari, Terry wanted a loan for a Ferrari Did he want a loan for a house? No, not for a house Did he want a loan for school? No, not for school What did he want a loan for? For a Ferrari, he wanted a loan for a Ferrari How much of a loan did he want? Well, $97,000 He wanted a $97,000 loan for a Ferrari Did the Ferrari dealer give him a loan? No, no, no, he didn’t give Terry a loan The Ferrari dealer said, “Listen, you’ll pay through the nose if you get a loan It’s very expensive Cash is much cheaper.” Would Terry pay through the nose if he got a loan? Yes, he would pay through the nose if he got a loan Is getting a loan very expensive for a Ferrari? Yes, it’s very expensive You’ll pay through the nose You’ll pay the maximum amount You’ll pay the biggest, highest amount if you get a loan He said you’ll pay through the nose Who would pay through the nose if he got a loan? www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Health Care Mini-Story Lesson Terry, Terry the toad Terry the toad would pay through the nose if he got a loan Would he pay through the nose if he paid cash? No, no, no, if he paid cash it would be cheaper But if he got a loan he would pay through the nose He would pay the highest amount But there is one problem, of course Terry the toad had no cash So Terry went to Everglade Swamp Every day he caught flies What did he catch? Flies, he caught flies And how often did he catch flies? Every day, every day he caught flies Why did he catch flies? Well, to make money, of course So he could sell them How many flies did Terry catch? Terry caught 20.7 billion flies How many flies did he catch? 20.7 million flies, right? No, not right 20.7 billion flies Terry caught 20.7 billion flies Billion He caught 20.7 billion what? Flies, Terry caught 20.7 billion flies What did he with the flies? Well, he sold them to Bill Gates Who did he sell the flies to? www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Health Care Mini-Story Lesson Bill Gates, he sold the flies to Bill Gates How many flies did he sell to Bill Gates? 20.7 billion, he sold 20.7 billion flies to Bill Gates Who did he sell them to? Bill Gates, he sold them to Bill Gates What did he sell to Bill Gates? Flies, he sold flies to Bill Gates, 20.7 billion flies to Bill Gates Why did he sell them to Bill Gates? Well, to defray the cost of the Ferrari, of course Did he want to lessen the cost of the Ferrari? Did he want to cover the cost of the Ferrari? Yes, he did He wanted to defray the cost of the Ferrari He wanted to defray the cost of the Ford or the cost of the Ferrari? Well, the Ferrari, he wanted to defray the cost of the Ferrari How did he defray the cost of the Ferrari? He defrayed the cost of the Ferrari by selling 20.7 billion flies to Bill Gates Did he defray the cost of the Ferrari? Yes, he did He defrayed the cost of the Ferrari In fact, he defrayed all of the cost of the Ferrari He covered all of the cost Bill Gates paid him $97,210 How much was the Ferrari? The Ferrari was $97,000 www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Health Care Mini-Story Lesson How much did Bill Gates pay him? $97,210, so that defrayed all of the cost of the Ferrari Which was higher, the amount Bill Gates paid him or the cost of the Ferrari? Well, the amount that Bill Gates paid him obviously was higher Bill Gates paid him $97,210 The Ferrari was $97,000 And so Terry the toad took his money to the Ferrari dealer And he bought a brand new, bright green, super fast, Ferrari He was very happy A very, very happy toad * * * * * Okay, that is the end of the mini-story for “Health Care.” Please listen to it several times many times And I will see you next time Thanks a lot Bye bye www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Healthcare POV Lesson Hello, this is AJ Hoge Welcome to the POV lesson for “Healthcare” Let’s start * * * * * Terry the toad wants a Ferrari But he has no money In fact, Terry the toad wants a green Ferrari, a bright green Ferrari But Terry has no money So he decides to get a Ferrari somehow Now, of course, Terry lives in Miami, Florida and he says, “I’m fed up with hopping around everywhere I want a fast, bright green, brand new Ferrari.” So he goes to a Ferrari dealer He asks the dealer, “How much is a Ferrari?” And the dealer says, “$97,000 for a brand new, bright green Ferrari.” Terry says, “Jeez, that’s expensive Can I have a loan?” The Ferrari dealer says, “Listen, you’ll pay through the nose if you get a loan It’s very expensive Cash is much cheaper.” But there is one problem, of course Terry the toad has no cash So Terry goes to Everglade Swamp Every day he catches flies Terry catches 20.7 billion flies And he sells them to Bill Gates Bill Gates pays him $97,210 And so Terry the toad takes his money to the Ferrari dealer And he buys a brand new, bright green, super fast, Ferrari He’s very happy He is a very, very happy toad * * * * * Okay, now that was a story that was happening at the same time that we are hearing it, right? So he goes to the Ferrari dealer He buys a Ferrari It means it’s kind of happening now, as we’re hearing it It’s…we’re hearing it from the present point of view Next, let’s go to the future Imagine this will happen in the future * * * * * So two years from now, two years in the future there will be a toad His name is gonna be Terry But Terry will have a problem Terry the toad’ll want a green Ferrari, a bright green Ferrari But he’s not gonna have any money So he’s gonna decide to get a Ferrari somehow Terry will live in Miami, Florida He’s gonna live there in the future Terry will be in Miami and he’ll say, “I’m fed up with hopping around everywhere I want a fast, bright green, brand new Ferrari.” So he’s gonna go to a Ferrari dealer And he’s gonna ask the dealer, “How much is a Ferrari?” And the dealer will say, “$97,000 for a brand new, bright green Ferrari.” www.LearnRealEnglish.com © Copyright 2009: Learn Real English, LLC Healthcare POV Lesson Terry’s gonna say, “Jeez, that’s expensive Can I have a loan?” The Ferrari dealer will say, “Listen, you’ll pay through the nose if you get a loan It’s very expensive Cash is much cheaper.” But there’s gonna be one problem, of course Terry the toad will not have cash He won’t have any cash So Terry is gonna go to Everglade Swamp And every day he’s gonna catch flies And he will catch 20.7 billion flies Then, he’s gonna sell them to Bill Gates Bill Gates will pay him $97,210 And so Terry’ll take his money to the Ferrari dealer And he’ll buy a brand new, bright green, super fast, Ferrari He’ll be very happy He’ll be a very, very happy toad * * * * * Alright, next our third version It starts with, “Since he was young…” * * * * * Since he was young Terry has wanted a Ferrari But since he has been young he has had no money Terry the toad has wanted a green Ferrari, a bright green Ferrari since he was very young But he has never had money This has been a problem for Terry since he was young until now He has always wanted a Ferrari during this entire time He has dreamed about getting a bright, green Ferrari since he was young And, since he was young, Terry has lived in Miami, Florida Well, one day he went to a Ferrari dealer in Miami And he said, “I want a fast, bright green, brand new Ferrari.” He asked the dealer, “How much is a Ferrari?” And the dealer said, “$97,000 for a brand new, bright green Ferrari.” Terry said, “Jeez, that’s expensive Can I have a loan?” The Ferrari dealer said, “Listen, you’ll pay through the nose if you get a loan It’s very expensive Cash is much cheaper.” But there was one problem, of course Terry the toad had no cash So Terry went to Everglade Swamp And every day he caught flies Terry caught 20.7 billion flies Then he sold them to Bill Gates Bill Gates paid him $97,210 Terry immediately went to the Ferrari dealer And he bought a brand new, bright green, super fast, Ferrari He was very happy He was a very, very happy toad * * * * * And that is the end of our point of view stories for “Healthcare” I’ll see you next time Bye bye www.LearnRealEnglish.com © Copyright 2009: Learn Real English, LLC Health Care Vocabulary Lesson Hello This is AJ Hoge again Welcome to the vocabulary lesson for “Health Care.” Let’s start * * * * * At the beginning of the conversation Joe and Kristin talk about a friend, Joe’s friend, whose name is Sam And Sam went to a restaurant and at the restaurant they charged him an additional 5% A surcharge A surcharge is an extra charge, an extra payment Kind of like a tax So when he went to the restaurant, this friend, he had to pay 5% extra And Kristin says, “Why, why is that?” And Joe says, “To defray the cost of healthcare for their employees.” To defray means to lessen or to reduce So reduce the cost of healthcare, lessen the cost of healthcare Defray the cost of healthcare So it means in San Francisco we have a new program, a new government program, city government program And it’s a healthcare program for everybody In most of America, most of the United States, we not have healthcare for everyone Only people with jobs, full-time jobs and even sometimes not everybody who has a full-time job… only people with good full-time jobs have healthcare in the United States Millions of people not have healthcare If they get sick, they must pay with their own money… very expensive, very difficult But San Francisco is a different city in America, it’s not normal We never anything normal in San Francisco, everything’s different We’re a very liberal city, a very aggressive city And so our city created a new healthcare program So everyone in the city has healthcare But to pay for this program there is now a surcharge, a tax, an extra tax, a 5% tax on businesses So restaurants are adding the tax to their bill so when you go to a restaurant you have to pay 5% more And this defrays the cost, it covers the cost, it lessens the cost of the healthcare tax Kristin says, “It’s called the Healthy San Francisco program.” And Joe says, “Oh, that makes sense.” Right, that’s the name, it makes sense To make sense means to sound appropriate To sound correct To be understandable, that makes sense To make sense He says oh, that’s understandable, that makes sense And Kristin says, “Yeah, I first found out I’m eligible for the program.” To be eligible means to be appropriate for something It means you have the necessary requirements to enter a program Usually to enter a program She is eligible for the program… it means she is appropriate for the program, she is able to join the program So Kristin can join the program because she does not have healthcare from her job Oh no, terrible And Joe says, “Yes, to be eligible you need to make below a certain amount of money per year and you also can’t have health insurance already.” www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Health Care Vocabulary Lesson So those are the two eligibility rules Eligibility rules means requirements Eligibility rules are requirements Requirements are (1) you can’t be rich; and (2) you can’t already have healthcare So if you meet those requirements you can join the San Francisco Healthy Program And Kristin talks a little more about some of the requirements and then they talk about healthcare in the United States Kristin says, “I’m fed up with healthcare in this country I will say, at least here in San Francisco we have a safety net like this new program.” So there we have two new phrases To be fed up with, number one To be fed up with something She’s fed up with healthcare in this country To be fed up with something means to not like it anymore Or to hate it, or to be sick of it, that’s another common phrase, to be sick of, to be fed up with I’m fed up with healthcare in this country I hate healthcare in this country I am angry about healthcare in this country Fed up with means tired of, sick of, angry about, all of those things So she’s really angry about healthcare in the United States She’s fed up with it She says at least here in San Francisco we have some kind of safety net like this new program A safety net, a social safety net is a protection for poor people really It means programs that help poor people If you lose your job then you still will be okay Maybe not happy, but you will have food, you will have someplace to live, a house or an apartment, you will have healthcare That’s a safety net, these very basic things for living It means the government, the community, will always give these things to people, the poor people A safety net, it keeps them safety Basic safety is provided, is given And Joe says, “You know what? I’m fed up, too, with healthcare in the United States.” He said, “It’s good that we have this program in the city but I am fed up, too The United States spends twice as much per person on healthcare than any other nation.” Two times more per person so we have very expensive healthcare, a lot of money, and yet, still, many, many people not get help It’s very bad A lot of people don’t get help, plus it’s expensive Not a great combination Okay then Joe says, “Yeah, it’s the insurance companies They’re the problem They act as middlemen between the patients and the healthcare providers and they only increase the prices They drive up the prices So the insurance companies are very powerful, very rich, and they make healthcare very expensive here in the United States Kristin then says, “Before we had a program like this in San Francisco, someone like me who had zero insurance…” Had no insurance www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Health Care Vocabulary Lesson “…had to resort to going to health centers And there were definitely downsides to that.” So they did have some health centers, community health centers in the city They still do, for people without insurance But they have some downsides A downside is a disadvantage or a negative point So there were some negative things about the health centers, some downsides So downsides again means a negative point, a negative part, something negative about the health care centers And she talks about how you had to make an appointment, could not be late for the appointment But when you did arrive on time, you still had to wait many hours So even if you’re very sick you have to wait and wait and wait and you’re sick (oh I feel terrible) Waiting, waiting, waiting, many, many, many hours “And then you might not even see a doctor,” she said “It could be a nurse practitioner.” A nurse practitioner is a professional nurse… a nurse who has more training Sort of a very high level nurse, almost a doctor A nurse that is almost a doctor We call that a nurse practitioner Nurse practitioner And you know, they are actually very good, they’re very skilled Some people like nurse practitioners better than doctors They feel that they are better and other people prefer doctors And Joe said, “Yeah, um, I heard that people that work there, the doctors and nurses, they don’t provide good care.” And Kristin says, “No, no, that’s not true.” She says, “Generally I got good care, it’s just I had to wait.” Waiting for hours and hours and hours “The problem was waiting and waiting That was more of an issue for me,” she said I feel like the care has been pretty good though.” So she got good care She got taken care of eventually but she had to wait a long time And then Joe says, “I actually have health insurance but I only have to go to the doctor once in a while Because I have been fortunate to be healthy.” Right, he says I have been fortunate to be healthy I only go once in a while I have been fortunate to be in good shape In good shape means healthy To be in good shape means to be healthy To be in good shape, one more time, means to be healthy So Joe says I have been in good shape, I have been healthy, luckily www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Health Care Vocabulary Lesson So he said, “If I did not, if I didn’t have health insurance, and I had an emergency, the cost would be out of control.” Out of control means ridiculous or crazy or extremely high or extremely something Extremely, extemely expensive here is what it means The cost would be extremely expensive, extremely crazy Too, too much And then he says, “Even though I have insurance, if I maxed out the insurance, forget it, it would be the same situation.” So if you max out your insurance, it means you used all of the benefits You reached the maximum amount of benefits Many insurance companies in the United States have a limit They will only pay a certain amount of money per year If you go over that amount, it’s called maxing out your insurance And after that you must pay everything yourself It’s quite terrible Kristin says, “Right.” And he says, “I’d pay through the nose.” To pay through the nose, that’s a slang phrase, an idiom phrase To pay through the nose means to pay a lot of money for something It’s the opposite of getting a discount Instead of getting a discount, you pay the highest possible price We call that paying through the nose Oh I paid through the nose it means you had to pay a lot for something You did not get a discount The opposite, you paid the most amount possible To pay through the nose, pay through the nose And Kristin says, “Yep, well, I think it was you that was telling me that San Francisco Hospital charges on a sliding scale basis.” A sliding scale, a sliding scale A sliding scale means variable price What does that mean? Variable means changing price So sliding scale means it can move, right, to slide means to move So a sliding scale means a moving scale It means a moving price So what this means really in a hospital is if you are poor, you pay a low price If you are middle class, you pay a medium price If you are rich, you pay a high price It’s a sliding scale It means different price for different people That’s a sliding scale It depends on your income And Kristin says, “Oh that’s awesome, that’s great.” She says that’s great So then Joe’s agreeing with Kristin And then he says that he thinks that it is the only hospital in San Francisco that does that… that has such a service He means that he thinks it is it is the only hospital that charges on a sliding scale basis www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Health Care Vocabulary Lesson And then Kristin said, “I’ve never known of any hospitals in Georgia that did that.” And she means that charged on a sliding scale basis She’s never known any hospitals in Georgia that charged on a sliding scale basis And then Joe says, “Yeah, come to think of it, I don’t really know of any other hospitals in the nation But it’s possible that there are some and we just don’t know about ‘em.” So what he’s saying is that he cannot think of any other hospitals in the nation that charge on a sliding scale basis Then Joe tells Kristin about his friend Neil He says, “He didn’t have a job He didn’t have any health insurance, y’know He didn’t really have any money And, uh, but y’know, his appendix needed to be taken out So he had it done at San Francisco General.” What is an appendix? In your body an appendix is a little thing at the end of your intestines The intestines are the tubes in your body for food And at the end there’s a small little piece, it’s called the appendix So his friend Neil, the appendix was infected, it was sick The doctors needed to operate They needed to take out his appendix So his friend went to San Francisco General Hospital and they took out his appendix And Joe said, “Guess how much they charged him?” Guess how much the cost was And Kristin says, “I don’t know, I have no idea.” And Joe says, “It was only a hundred bucks.” Of course, bucks means dollars We say that a lot Buck or bucks means dollars Hundred bucks, hundred dollars So only one hundred dollars for this surgery for this operation In America that’s extremely cheap Usually it would be maybe $10,000 or something, maybe more So only $100, that’s fantastic And Kristin says, “Wow, I can’t believe it.” And she says, “That’s amazing.” And he says, “When they were checking out of the hospital they told him we know you don’t have a job and you don’t have much money so don’t worry about the hundred bucks, we’ll just write it off.” So even though the price was a hundred bucks, he didn’t have to pay it He paid zero They said they would write it off To write it off, this is used in business a lot To write off an expense, to write off a cost… it means you forget about it, basically It means you accept the loss You don’t try to get the money So this guy should pay them $100 but they say don’t worry They say we accept the loss We will lose the $100 It’s okay So to write something off in business means you accept the loss You don’t try to get your money You say, eh, it’s okay, we’re going to lose this money and you write it off www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Health Care Vocabulary Lesson And Kristin says, “Jeez, y’know, that makes me think when I was living in Bangkok.” Jeez, jeez really has no meaning It’s just something we say for emotion It’s like wow It shows surprise, it shows a strong emotion, usually some kind of surprise Something that’s unexpected you say, “Jeez, jeez ” it’s like wow, wow Jeez, jeez And she talks about being in Bangkok She got sick, three days in a hospital and when she was in the hospital she was very worried Since she is American, she was thinking this is going to be expensive, so expensive This is going to be expensive The three days in the hospital was only $152, something like that And she was very happy because it was so cheap compared to the United States And then finally at the end she says, “I pale at the thought of what that would have cost me here in the United States with no insurance.” So to pale at the thought of something we’ll talk about that To pale, as a verb To pale means to become white, your skin becomes very white You lose your color Usually this happens when you’re sick or when you’re very scared, you’re very afraid So you say I pale at the thought, it means I become scared at the thought It means some thought, some idea, scares you a lot So she’s thinking, she’s imagining the cost in the United States of three days in a hospital, and then she’s scared This thought scares her This idea makes her afraid So that’s when we say I pale at the thought of something I pale at the thought means I’m afraid of this idea I’m afraid of thinking about this So we say it when we talk about something that is very scary to us So the idea of having to pay for three days in an American hospital, it’s very scary to Kristin Pales at the thought of it Just thinking about it makes her turn white, to become super white because she’s so scared That’s the idea * * * * * Okay, that is the end of the vocabulary for “Health Care.” Listen to it a few times and then listen to the other lessons See you next time Bye bye www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC ... he going to read a book or go to a Rolling Stones concert? Go to a Rolling Stones concert He wasn’t going to read a book www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Nepal... need to www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC 15 Nepal Part Mini-Story Lesson Okay, that’s all for now Thanks and we’ll see you next time www.LearnRealEnglish.com ©... to point out some things www.LearnRealEnglish.com © Copyright 2008: Learn Real English, LLC Chile Vocabulary Lesson In this conversation as well as all of the conversations, you’re going to hear